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THRIVE WELLNESS AND PRIMARY CARE, LLC

Company Details

Entity Name: THRIVE WELLNESS AND PRIMARY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Mar 2023 (2 years ago)
Document Number: L23000126511
FEI/EIN Number 923087650
Address: 1025 MILITARY TRL, STE 211, JUPITER, FL, 33458, US
Mail Address: 1025 MILITARY TRL, STE 211, JUPITER, FL, 33458, US
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912602491 2023-04-03 2023-09-30 1025 MILITARY TRL STE 211, JUPITER, FL, 334587040, US 1025 MILITARY TRL STE 211, JUPITER, FL, 334587040, US

Contacts

Phone +1 561-406-3082
Fax 5616582616

Authorized person

Name AMANDA GRAHAM
Role OWNER
Phone 5614063082

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
GRAHAM AMANDA Agent 15560 HAYNIE LANE, JUPITER, FL, 33478

Manager

Name Role Address
GRAHAM AMANDA Manager 1025 MILITARY TRL, 211, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-27 1025 MILITARY TRL, STE 211, JUPITER, FL 33458 No data
CHANGE OF MAILING ADDRESS 2024-02-27 1025 MILITARY TRL, STE 211, JUPITER, FL 33458 No data

Documents

Name Date
ANNUAL REPORT 2024-02-27
Florida Limited Liability 2023-03-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State